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Overcoming barriers : a review of different strategies adopted by low-middle income countries in implementing telemedicine / Dr. Dolores V. Viliran, Gealle Lisette S. Macatangay, Xiena Franchette B. Mallari, Lindsay Louisse C. Mauhay, John Aldwin S. Mendoza, Justine Paolo S. Mendoza, Ma. Ashley Joy L. Navida, Clarissa E. Nicolas, Guillian Ajami O. Oriño, Hazel Beatrice D. Perez, Vania Celine F. Ramirez, Marvie A. Regidor, Martina Dominique R. Reyes, Katrina Isabel C. Rifareal, Charlene P. Samson, Xearis Danielle U. Sangalang, Gabrielle Mikhaila B. Serrano, Pamela Grace M. Simbulas, Allanice Lizzette S. Sunga, Teanu Jose G. Tamayo, Caye Antoinette R. Tarrago, Rosenie Kamile G. Tuazon.

By: Contributor(s): Language: english Publication details: Fairview, Quezon City: Department of Community and Family Medicine, FEU-NRMF, 2020.Description: 22 pages : tables ; 28 cmContent type:
  • text
Media type:
  • unmediated
Carrier type:
  • volume
Subject(s): LOC classification:
  • M CFM 2020 0034
Summary: Abstract: For low and middle-income countries, a challenge imposed by extreme circumstances, like the COVID-19 pandemic, is how to continuosly deliver quality healthcare. Telemedicine has allowed health care providers to minimize the risk of exposure from patients, while still providing the utmost level of care. While Telemedicine provides an option to deliver primary health care, this modality is still not widely observed. The objective of this study was to determine the different strategies used and policies adopted by lower-middle income countries to overcome barriers in telemedicine. The studies consisted of resources published from 2015 to present. They were limited to lower middle-income countries, as listed by The World Bank in 2020. Eligibility assessment was performed based on the objective of the study, and had to meet criteria for inclusion. Literature search was performed using FEU-NMRF's library and various electronic databases (2015 - Present). In addition, pertinent information from The World Health Organization, the Philippines' Department of Health, and the national health departments of other LMICs were gathered. The risk of bias was assessed regarding publication bias, confirmation bias and secondary sources. 52 articles were collected from various electronic databases. 7 duplicates were eliminated, 26 were excluded, and the rest were assessed according to the context, barriers, and recommendations they presented. Of the barriers identified infrastructural barriers were the most common, with the most important factor being inadequate internet connection. Others included financial, organizational, and cultural barriers. Common strategies to overcome these barriers included adherence to guidelines, training of personnel, establishment of direct and simple communication platform, and ensuring adequate funding. Low-middle income countries, like the Philippines, face several barriers in the implementation of Telemedicine. In order to overcome these, the successes of other LMICs may be used as a blueprint to create and implement an effective telemedicine program.
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Includes appendices and bibliographical references.

Abstract: For low and middle-income countries, a challenge imposed by extreme circumstances, like the COVID-19 pandemic, is how to continuosly deliver quality healthcare. Telemedicine has allowed health care providers to minimize the risk of exposure from patients, while still providing the utmost level of care. While Telemedicine provides an option to deliver primary health care, this modality is still not widely observed. The objective of this study was to determine the different strategies used and policies adopted by lower-middle income countries to overcome barriers in telemedicine. The studies consisted of resources published from 2015 to present. They were limited to lower middle-income countries, as listed by The World Bank in 2020. Eligibility assessment was performed based on the objective of the study, and had to meet criteria for inclusion. Literature search was performed using FEU-NMRF's library and various electronic databases (2015 - Present). In addition, pertinent information from The World Health Organization, the Philippines' Department of Health, and the national health departments of other LMICs were gathered. The risk of bias was assessed regarding publication bias, confirmation bias and secondary sources. 52 articles were collected from various electronic databases. 7 duplicates were eliminated, 26 were excluded, and the rest were assessed according to the context, barriers, and recommendations they presented. Of the barriers identified infrastructural barriers were the most common, with the most important factor being inadequate internet connection. Others included financial, organizational, and cultural barriers. Common strategies to overcome these barriers included adherence to guidelines, training of personnel, establishment of direct and simple communication platform, and ensuring adequate funding. Low-middle income countries, like the Philippines, face several barriers in the implementation of Telemedicine. In order to overcome these, the successes of other LMICs may be used as a blueprint to create and implement an effective telemedicine program.

Thesis - Department of Community & Family Medicine

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